| NPI | 1487690988 |
|---|---|
| Former Name | JOI PHELPS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: KS 0992) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MO 2003005720) |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2009-11-21 |